Backpacks are a popular and practical way for children and teenagers to carry schoolbooks
and supplies. They are designed to distribute the weight of the load among some of
the body's strongest muscles. When used correctly, backpacks can be a good way to
carry the necessities of the school day.

Tips for Proper Use of Backpacks

Backpacks that are too heavy or are worn incorrectly can cause problems for children
and teenagers. Improperly used backpacks may injure muscles and joints. This can lead
to severe back, neck, and shoulder pain, as well as posture problems.

Although they are linked to posture problems, heavy backpacks do not cause scoliosis.
Scoliosis is a sideways curve of the spine that often shows up in children during
adolescence.

Encourage your child or teenager to tell you about numbness, tingling, or discomfort
in the arms or legs which may indicate poor backpack fit or too much weight being
carried.

Watch your child put on or take off the backpack to see if it is a struggle. If the
backpack seems too heavy for the child, have them remove some of the books and carry
them in their arms to ease load on the back.

Do not ignore any back pain in a child or teenager.

Talk to the school about lightening the load. Team up with other parents to encourage
changes.

Encourage your child to stop at his or her locker when time permits throughout the
day to drop off or exchange heavier books.

If your child has back pain that does not improve, consider buying a second set of
textbooks to keep at home.

Reviewed by members of POSNA (Pediatric Orthopaedic Society of North America)

The Pediatric Orthopaedic Society of North America (POSNA) is a group of board eligible/board
certified orthopaedic surgeons who have specialized training in the care of children's
musculoskeletal health. One of our goals is to continue to be the authoritative source
for patients and families on children's orthopaedic conditions. Our Public Education
and Media Relations Committee works with the AAOS to develop, review, and update the
pediatric topics within OrthoInfo, so we ensure that patients, families and other
healthcare professionals have the latest information and practice guidelines at the
click of a link.

AAOS does not endorse any treatments, procedures, products, or physicians referenced
herein. This information is provided as an educational service and is not intended
to serve as medical advice. Anyone seeking specific orthopaedic advice or assistance
should consult his or her orthopaedic surgeon, or locate one in your area through
the AAOS "Find an Orthopaedist" program on this website.